Transcript Ear II
بسم هللا الرحمن الرحيم Ear II ORL Course 431 Prof. Mohammed Attallah Professor / Consultant EXTERNAL EAR Auricle External Canal THE AURICLE Perichondritis Erysipelas DISEASES OF THE EXTERNAL EAR CONGENITAL MALFORMATIONS • Anotia & microtia • Accessory auricle • Preauricular sinus • Protruding ear CONGENITAL MALFORMATIONS • Anotia & microtia • Accessory auricle • Preauricular sinus • Protruding ear TRAUMA TO THE AURICLE • Lacerations • Hematoma auris Complication Cauliflower ear PERICHONDRITIS OF THE PINNA • Usually follow trauma (hematoma auris, surgical, frostbite, burn) or otitis externa • Commonly caused by Pseudomonas • Fever, pain, redness and swelling • Treatment is by antibiotics OTITIS EXTERNA DEFINITION • An acute or chronic infection of the whole or a part of the skin of the external ear canal CAUSES OF OTITIS EXTERNA CAUSES OF OTITIS EXTERNA INFECTIVE REACTIVE CAUSES OF OTITIS EXTERNA INFECTIVE Bacterial Fungal REACTIVE Viral CAUSES OF OTITIS EXTERNA INFECTIVE Bacterial Fungal REACTIVE Viral Eczematous Seborrheic CAUSES OF OTITIS EXTERNA INFECTIVE Bacterial Fungal Staph. arues Pseudomonos Others REACTIVE Viral Eczematous Seborrheic CAUSES OF OTITIS EXTERNA INFECTIVE Bacterial Fungal Viral Staph. arues Aspirigillus Niger Pseudomonos Candida Albicans Others REACTIVE Eczematous Seborrheic CAUSES OF OTITIS EXTERNA INFECTIVE Bacterial Fungal REACTIVE Viral Eczematous Staph. arues Aspirigillus Niger Herpes zoster Pseudomonos Candida Albicans Others Others Seborrheic CLINICAL FEATURES OF OTITIS EXTERNA • • • • • • Itching Pain Tenderness and swelling Otorrhea Deafness Changes in the lumen and skin of EAM CLINICAL TYPES OF OTITIS EXTERNA • Localize O.E ( furuncle) CLINICAL TYPES OF OTITIS EXTERNA • Localize O.E (furuncle) • Diffuse infective O.E. CLINICAL TYPES OF OTITIS EXTERNA • • • • Localize O.E (furuncle) Diffuse infective O.E. Otomycosis CLINICAL TYPES OF OTITIS EXTERNA • • • • Localize O.E (furuncle) Diffuse infective O.E. Otomycosis Bullous myringitis CLINICAL TYPES OF OTITIS EXTERNA • Localize O.E (furuncle) • Diffuse infective O.E. • Otomycosis • Bullous myringitis • Herpetic O.E. CLINICAL TYPES OF OTITIS EXTERNA • Localize O.E (furuncle) • Diffuse infective O.E. • Otomycosis • Bullous myringitis • Herpetic O.E • Eczematous and seborrheic O.E. CLINICAL TYPES OF OTITIS EXTERNA • Localize O.E ( furuncle) • Diffuse infective O.E. • Otomycosis • Bullous myringitis • Herpetic O.E • Eczematous and seborrheic O.E. • “Malignant” otitis externa MANAGEMENT OF OTITIS EXTERNA • Swab for culture and sensitivity • Ear toilet • Keep the ear dry • Local medications • Systemic medications • Surgery may be required in chronic cases